Provider Demographics
NPI:1366326373
Name:WHOLE HEALTH LIFESTYLES LLC
Entity type:Organization
Organization Name:WHOLE HEALTH LIFESTYLES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:SNOWDEN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:443-604-3221
Mailing Address - Street 1:134 CHARGEUR RD
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-1118
Mailing Address - Country:US
Mailing Address - Phone:202-596-6573
Mailing Address - Fax:443-817-0478
Practice Address - Street 1:134 CHARGEUR RD
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-1118
Practice Address - Country:US
Practice Address - Phone:202-596-6573
Practice Address - Fax:443-817-0478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-04
Last Update Date:2025-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation